A Case of Recurred Malignant Proliferating Trichilemmal Tumor of the Scalp

두피에 재발한 악성증식모근초종양 1례

  • Lee, Sae Bin (Department of Plastic & Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine) ;
  • Lee, Won Jai (Department of Plastic & Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine) ;
  • Tark, Kwan Chul (Department of Plastic & Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine) ;
  • Kim, Se Hoon (Department of Pathology, Yonsei University College of Medicine)
  • 이세빈 (연세대학교 의과대학 성형외과학교실, 인체조직복원연구소) ;
  • 이원재 (연세대학교 의과대학 성형외과학교실, 인체조직복원연구소) ;
  • 탁관철 (연세대학교 의과대학 성형외과학교실, 인체조직복원연구소) ;
  • 김세훈 (연세대학교 의과대학 병리학교실)
  • Received : 2006.03.16
  • Published : 2006.07.10

Abstract

Purpose: To report the case of recurred malignant proliferating trichilemmal tumor on scalp Methods: Case report and literature review Results: A 40-year-old man presented with a recurred malignant proliferating trichilemmal tumor, which developed on the occipital area. It was $8{\times}9{\times}4.5cm$ in size, protruded, firm and non-tender mass. This tumor was widely excised including normal skin margin and pericranium. Immediate reconstruction using free latissimus dorsi muscle flap and skin graft were done. Histopathologic examination revealed abrubt, compact trichilemmal keratinization in the central area of lobular epithelial proliferation. Conclusion: There has been no recurrence of tumor during follow-up period of nine months without adjuvant chemotherapy or radiotherapy.

Keywords

References

  1. Mehregan AH, Lee KC: Malignant proliferating trichilenunal tumors-report of three cases. J Dermaiol Surg Oneal 13: 1339, 1987
  2. Markal N, Kutay A, Velidedeoglu H, Hucumenoglu S: Malignant transformation of a giant proliferating trichilemrnal tumor of the scalp: patient report and literature review. Ann Plast Surg 41: 314, 1998 https://doi.org/10.1097/00000637-199809000-00017
  3. Herrero J, Monteagudo C Ruiz A, LIombart-Bosch A: Malignant proliferating trichilemmal tumors: an histopathological and immunohistochemical study of three cases with DNA ploidy and morphometric evaluation. Histopathology 33: 542, 1998 https://doi.org/10.1046/j.1365-2559.1998.00549.x
  4. Kim HJ, Kim TS, Lee KH, Kim YM, Suh CH: Proliferating trichilemmal tumors: CT and MR imaging findings in two cases, one with malignant transformation. Am J Neuroradiol 22: 180, 2001
  5. Saida T, Oohara K, Hori Y, Tsuchiya S: Development of a malignant proliferating trichilemmal cyst in a patient with multiple trichilemmal cysts. Dermatologica 166: 203, 1983 https://doi.org/10.1159/000249868
  6. Mathis ED, Honningford JB, Rodriguez HE, Wind KP, Connolly MM, Podbielski FJ: Malignant proliferating trichilemmal tumor. Am J Clin Oneal 24: 351, 2001 https://doi.org/10.1097/00000421-200108000-00006
  7. Lee SJ, Choi KH, Han JH, Kim YD: Malignant proliferating trichilemmal tumor of the lower eyelid. Ophthal Plast Reeonstr Surg 21: 349, 2005 https://doi.org/10.1097/01.iop.0000167787.91245.f6
  8. Bae SB, Lee KK, Kim JS, Lee JH, Lee NS, Lee GT, Park SK, Won JH, Baick SH, Hong DS, Lee DW, Park HS: A case of malignant proliferating trichilemmoma of the scalp with multiple metastases. Korean J Intern Med 16: 40, 2001 https://doi.org/10.3904/kjim.2001.16.1.40